Chapter 53 Quiz

A  Urethral infection.

B  cystitis.

C  pyelonephritis.

D  ureteral stones.

A  Tenderness over the kidneys

B  Bruits noted over the abdominal area

C  A dull sound when percussing over the bladder

D  The ingestion of 8 oz of water

A  bladder

B  urethra

C  kidney

D  ureter

A  Connective tissue

B  Adventitia

C  Mucosal

D  Detrusor

A  If I have difficulty urinating, I should contact my physician.”

B  I should increase my fluid intake for the rest of the day.”

C  I can resume my usual activities without restriction.”

D  It is normal for my urine to be blood-tinged.”

A  Cortisol

B  Renin

C  Vasopressin

D  Albumin

A  Check the patient’s urine for hematuria.

B  Place a bed board under the mattress to add support

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Keep the patient on bed rest for 72 hours.

A  Increased blood flow to the kidney

B  Increased glomerular filtration rate

C  Acid-base balance

D  Susceptibility to develop hypernatremia

A  Infection

B  phenazopyridine hydrochloride

C  Metronidazole

D  Phenytoin

A  Resonance

B  Flatness

C  Tympany

D  Dullness

A  Renal pelvis

B  Glomerulus

C  Parenchyma

D  Nephron

A  “Do you have any allergies?”

B  Have you any artificial joints?”

C  Who has come with you today?”

D  Do you have a pacemaker?”

A  Growth hormone

B  Aldosterone

C  Antidiuretic hormone

D  Prostaglandins

A  4:01

B  6:01

C  10:01

D  3:01

A  palpate the client’s bladder before and after voiding.

B  assess the client’s usual intake of sodium.

C  confirm which beverages the client normally consumes.

D  confirm all of the medications and supplements normally taken.

A  Blood urea nitrogen (BUN)

B  Creatinine clearance level

C  Uric acid level

D  BUN to creatinine ratio

A  Do you have a strong desire to void?”

B  Do you urinate while sleeping?”

C  Is it painful when you urinate?”

D  Does it burn when you urinate?”

A  Proteinuria

B  Chronic kidney disease

C  Neurogenic bladder

D  Kidney stone formation

A  “Do you take multiple vitamin preparations?”

B  Have you noticed any vaginal bleeding?”

C  Do you take phenytoin daily?”

D  Have you had a recent urinary tract infection?”

A  “I took my usual dose of Coumadin last night.”

B  “I have not eaten since 8 pm last night.”

C  “I signed the consent form in the physician’s office.”

D  I brought a copy of my living will with me.”

A  Acid-base balance

B  Increased blood flow to the kidneys

C  Increased glomerular filtration rate

D  More prone to develop hypernatremia

A  Therapeutic index

B  GI absorption rate

C  Creatinine clearance

D  Liver function studies

A  6 hours after the urine is discarded

B  After discarding the 8:00 am specimen

C  At 8:00 am, with or without a specimen

D  With the first specimen voided after 8:00 am

A  Uric acid level

B  Blood urea nitrogen level

C  Creatinine clearance level

D  Serum potassium level

A  Increased fluid intake

B  Glomerulonephritis

C  Diabetes insipidus

D  Decreased fluid intake

A  Osmolality

B  Hemoglobin

C  Creatinine

D  Blood urea nitrogen

A  The costovertebral angle

B  The upper abdominal quadrants on the left and right side

C  Above the symphysis pubis

D  Around the umbilicus

A  Fistula

B  Kidney stones

C  Chronic renal failure

D  Neurogenic bladder

A  creatinine

B  glucose

C  chloride

D  potassium

A  Fluid deficits

B  Glomerulonephritis

C  Severe renal damage

D  Diabetes insipidus

E  Diabetes

A  I took my blood pressure medication with my morning coffee an hour ago.”

B  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

C  “I had my last cigarette 3 hours ago with my morning coffee.”

D  “I did not take my multivitamin this morning.”

A  Suprapubic pain

B  Pain after voiding

C  Costovertebal angle tenderness

D  Perineal pain

A  When the urine output is less than 30 mL/h

B  When the urine output is between 500 and 1,000 mL/h

C  When the urine output is about 100 mL/h

D  When the urine output is between 300 and 500 mL/h

A  Urine-specific gravity

B  Circulating ADH concentration

C  Volume of urine output

D  Creatinine clearance

A  drink liberal amounts of fluids.

B  maintain bed rest for 2 hours.

C  notify the health care team if bloody urine is noted.

D  carefully handle urine because it is radioactive.

A  Dysuria

B  Polyuria

C  Nocturia

A  Increased serum creatinine

B  Decreased blood urea nitrogen (BUN)

C  Increased serum albumin

D  Decreased potassium

A  oliguria.

B  dysuria.

C  anuria.

D  nocturia.

A  Place cool compresses on the calf.

B  Assess for anaphylaxis.

C  Exercise the leg and foot.

D  Assess peripheral pulses in the left leg.

A  Increased alertness

B  Pruritus

C  Unusually smooth skin

D  Hypoventilation

A  Keep the patient on bed rest for 72 hours.

B  Place a bed board under the mattress to add support.

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Check the patient’s urine for hematuria.

A  decreased in nephrotic syndrome.

B  decreased in renal disease and urinary obstruction.

C  increased in renal disease and urinary obstruction.

D  unchanged in renal disease.

A  Myocardial infarction

B  Stroke

C  Congestive heart failure

D  Urinary incontinence

A  Antidiuretic hormone (ADH)

B  Aldosterone

C  Renin

D  Calcitonin

A  Vitamin B production

B  Vitamin D synthesis

C  Regulation of blood pressure

D  Secretion of insulin

E  Secretion of prostaglandins

A  You’ll have a pressure dressing on your groin after the test.”

B  An x-ray will be done to view your kidneys, ureters, and bladder.”

C  “A contrast medium will be used to help see the structures better.”

D  “You don’t need to do any fasting before this noninvasive test.”

A  Synthesis of vitamin K

B  Control of water balance

C  Secretion of enzymes

D  Regulation of white blood cell production

A  Monitor the client for an allergy to iodine contrast material.

B  Monitor the client for signs of electrolyte and water imbalance.

C  Assess the client’s mental changes.

D  Evaluate the client for periorbital edema.

A  The client consumes 75% of lunch following an intravenous pyelogram

B  The client voids 75 cc four hours post cystoscopy.

C  The client has blood-tinged urine following brush biopsy.

D  The client reports a pain rating of 3 two hours post-kidney biopsy.

A  Sodium

B  Potassium

C  Calcium

D  Phosphorous

A  “Do you take multiple vitamin preparations?”

B  Have you noticed any vaginal bleeding?”

C  “Do you take phenytoin daily?”

D  Have you had a recent urinary tract infection?”

A  Hematuria

B  Enuresis

C  Anuria

D  Dysuria

A  Cystoscopy

B  Computed tomography with contrast

C  Bladder ultrasonography

D  Radiography

A  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

B  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

C  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

D  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

A  Enable the client to sit up and ambulate.

B  Assess the patient’s back and shoulder areas for signs of internal bleeding.

C  Distract the client’s attention from the pain.

D  Provide analgesics to the client.

A  Acute renal failure

B  Infection

C  Nephrotic syndrome

D  Obstruction of the lower urinary tract

A  Angiography

B  Radiography

C  Cystoscopy

D  Computed tomography (CT scan)

A  “I should remove all jewelry before the test.”

B  I should let the staff know if I feel claustrophobic.”

C  “I will need to drink all of the dye as quickly as possible.”

D  “I will feel a warm sensation as the dye is injected.”

A  microorganism transfer.

B  incorrect urine output values.

C  client discomfort.

D  prostate irritation.

A  The kidneys lie between the 10th and 12th thoracic vertebrae.

B  The kidneys are situated just above the adrenal glands.

C  The left kidney usually is slightly higher than the right one.

D  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

A  After discarding the 8:00 am specimen

B  With the first specimen voided after 8:00 am

C  At 8:00 am, with or without a specimen

D  6 hours after the urine is discarded

A  Creatinine clearance level

B  Uric acid level

C  Serum potassium level

D  Blood urea nitrogen level

A  Urinary frequency

B  Urinary incontinence

C  Urinary stasis

D  Urinary urgency

A  The ingestion of 8 oz of water

B  Tenderness over the kidneys

C  Bruits noted over the abdominal area

D  A dull sound when percussing over the bladder

A  Allergic reaction

B  Infection

C  Dehydration

D  Bleeding